Healthcare Cost and Quality

PacificSource Quality Reports

Quality Program Highlights and Progress and HEDIS and CAHPS Report—HEDIS, which stands for Healthcare Effectiveness Data and Information Set, is a tool used by more than 90 percent of America’s health plans to measure things such as care and service. HEDIS makes it easier to compare plans on an apples-to-apples basis. In our HEDIS reporting, we used CAHPS survey results. CAHPS (Consumer Assessment of Healthcare Providers and Systems) is an initiative of the United States Department of Health and Human Services Agency for Research and Quality. It measures members’ satisfaction with PacificSource and physician and healthcare services.

Looking for information on the cost and quality of hospital care?

Try the following websites:

Oregon PricePoint System—includes charges and utilization information for 64 Oregon hospitals. Includes data on the most common types of hospitalizations in Oregon (newborns and deliveries, heart failure/shock, pneumonia, chest pain, rehabilitation, stomach/digestive disorders, and cardiac catheterization); alcohol and drug abuse; bones, joints, muscles; heart/cardiovascular; psychiatric; and rehabilitation.

Leapfrog Group Hospital Ratings—features nationwide hospital quality information. Includes hospital comparisons of overall patient safety ratings, as well as safety of selected procedures.

Hospital Compare—nationwide hospital quality information provided by the federal government through the U.S. Centers for Medicare & Medicaid Services. Includes information on heart attack, heart failure, chronic lung disease, pneumonia, diabetes in adults, chest pain, and surgical procedures for heart/blood vessels, abdominal, neck/back/arms/legs, bladder/kidney/prostate, and female reproduction.

InTouch for Members

Last updated 12/31/2019